Any Doctors Who Can Put This Ct Report Into Plain English?

[kingbilly]

I received a report from a Thai hospital after an acute pacreatitus attack, I was then given a CT scan where the results are emailed to another hospital in another province, as the doctors here must be unable to interpret the results.

I would be greatful if anyone here is able to put the following comments into "laymans terms" Much appreciated.

1 Decreased density of liver parenchyma without space occupying lesion.

2: Diffuse enlarged Pancreas, 3cm in thickness, with peripancreatic fat and anterior pararenal space stranding.

3: Mild dilation of of transverse colon and collapsed descending colon is noted - (I wondered here if this was due to the fact that had not been allowed to eat or drink anything for 4 days prior to the CT or is it another real problem?)

4: The stomach and small bowel are not remarkable (I take this means they can't see enough of it or it is OK????)

5: No free intraperitoneal fluid or intra abdominal fluid or intra abdominal lymphadenopathy.

The conclusion was Acute Pancreatitus Balthazar Grade C + Fattly liver.

I presume that the pancreas suffers no necrosis so it is not "Chronic...is this correct?

The part about the liver and lesion - does this mean there are problems with lesions or do all livers have lesions?

Any assistance to let me know exactly what this means would be great - like have I got days to live or maybe longer?

Many thanks!

[jrtmedic]

Lets look at the Fatty Liver issue to begin with.

"Fatty Liver" is commonly associated with excess alcohol ingestion, diabetes , hypertension and high cholesterol levels. There are other much rarer causes.

Treatment depends entirely on the identified cause and you must be guided by your medical (hopefully a Hepatologist or failing that a Gastroenterologist with an interest in Liver Disease) specialist.

Depending on the cause a reversal of the Liver change is a possibility.

Turning to the Pancreas

The Balthazar score is a grading system which predicts likely morbidity/mortality. At a grade "C" the score indicates pancreatic gland abnormalities and pancreatic inflammation with a relatively low morbidity risk.

Again you need to be guided by a specialist as to the best way forward.

If there is any delay in obtaining specialist advise one of the most important things you can do for yourself is stop drinking alcohol. (I mean it -- not even one beer!)

The other reported findings in your scan report are incidental and of no real significance.

Maybe some else here can point you toward and appropriate specialist .

Best wishes for a full recovery.

Edited September 1, 2012 by jrtmedic

[kingbilly]

Thanks JRTMedic! I do suffer from Hypertension - at the hspital over the past 4 days it was measured between 220/150, and then at some points as low as 130/70, however it is generally around 180-190/120 (has been for a period of years) Thanks again though.

Edited September 1, 2012 by kingbilly